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    <lastmod>2021-02-11</lastmod>
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      <image:caption>Management of post-operative bleeding in cardiac surgery (and cheat sheet, swipe): Many factors contribute to bleeding in cardiac surgery that do not necessarily entail a surgical etiology. The cardiopulmonary bypass pump (CPB) pump itself is thrombogenic, thus high dose heparin is administered to prevent clotting. Although heparin is reversed at the end of the surgery, remnants still linger. Other coagulopathy factors include platelet activation and consumption, hypothermia, and dilutional issues with crystalloid and pump priming.</image:caption>
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